Benefit Verification Process
| 1. |
Healthcare provider faxes completed Benefit Verification Request Form with patient signature*, as well as a photocopy of the front and back of the patient’s insurance card(s) to Astellas Reimbursement ServicesSM (ARS) at 1-866-317-6235.
* Alternatively, healthcare provider may fax HIPAA form already on file with the practice or facility with the Benefit Verification Request Form.
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| 2. |
An ARS reimbursement specialist contacts the payer(s) within one business day to verify patient-specific coverage, including:
- Patient eligibility for benefits
- Requirements for prior authorization, step therapy, or other coverage restrictions
- Patient cost to fill prescription (co-payment, co-insurance, benefit cap)
- Any coding or claim-submission requirements
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| 3. |
After the benefit verification is complete, the ARS reimbursement specialist faxes the healthcare provider a comprehensive Summary of Benefits. |
| 4. |
ARS reimbursement specialist places follow-up call to review the Summary of Benefits and answer any healthcare provider questions. |
